Physical health side effects of psychotropic medication: holistic prevention and management

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From weight gain to heart rhythm changes, sexual dysfunction to sleep problems — the physical side effects of psychiatric drugs are vast, complex, and often overlooked. This blog distils key insights from a new Lancet Commission published today; to help clinicians and patients make safer, more informed prescribing decisions.

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Talking about suicide in psychosis: does a targeted therapy make a difference?

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People with psychosis face unique risks around suicide, but most treatments aren’t designed with them in mind. This new RCT tested a targeted therapy that tackles those specific challenges. So what did it find?

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Mentalisation-based therapy for anti-social personality disorder shows promise in rare prison-based trial

The study included men aged 21 or older who were convicted of an offence and under probation at one of the 13 study sites.

RCTs are rare in prison settings, but today, Tom Stephenson and Danny Whiting blog about a new rigorous trial that provides grounds for therapeutic optimism.

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What’s the matter? The role of white matter microstructure in depression-related cognitive decline

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Fionnuala Rogers discusses a study on the role of white matter microstructure in depression-related cognitive dysfunction, which highlights the importance of viewing major depressive disorder not only as a mood disorder, but as a condition with significant neurocognitive implications.

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Can we prevent major depression before it starts? A global review of psychological interventions

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Alexis An Yee Low considers a systematic review published in The Lancet Psychiatry which highlights the effectiveness of preventive psychological interventions for subthreshold depressive symptoms.

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Cost-effective therapy for postnatal depression in British South Asian Mothers

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Lorna Staines considers recent studies in psychological interventions, to support affordable healthcare for South Asian women with postnatal depression.

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Lithium is best at decreasing the risk of depression-related hospitalisation in bipolar disorder, according to new cohort study

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This Swedish cohort study, blogged by Duncan Swiffen, is yet more evidence for lithium as an excellent treatment for people with bipolar disorder. This time it comes out on top in terms of preventing depression-related hospitalisation.

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Quetiapine may pip lithium to the post for augmentation in ‘treatment resistant depression’: results from the LQD study

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Kirsten Lawson and Douglas Badenoch review the new randomised controlled trial by Cleare et al, published today in The Lancet Psychiatry, directly comparing the clinical and cost effectiveness of lithium and quetiapine as augmentation treatments for patients with ‘treatment resistant depression’.

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Tell me what you want, what you really really want: lived experience involvement in co-developing outcome measures

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Laura Hemming explores a new systematic review out today in The Lancet Psychiatry, which stresses the importance of involving of people with lived experience of mental health disorders in co-developing research outcome measures.

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Alternatives to medication for ‘treatment-resistant schizophrenia’

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Kalya Win Aung, Angela Kibia and Dorothy Williams consider a systematic review and network meta-analysis published by the Lancet Psychiatry on psychological and psychosocial interventions for treatment-resistant schizophrenia.

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